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Market snapshot

64479 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

64479 — Injection of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance, single level

Billing groups
240
Named-group FFS services
11,802
FFS of Medicare
49%
Services YoY
+4.3%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~23,638 services

11,802 observed fee-for-service (50%) · ~11,836 estimated Medicare Advantage. Scaled from the observed floor by each state’s fee-for-service share (FFS share as of 2024) — scaled estimate — assumes MA utilization mirrors FFS; not an observation. How we scale

Top states — 64479 (CY2024)
CA 4,096 MD 1,696 TX 1,602 NC 1,553 NV 1,511

Disclosed Medicare fee-for-service services by billing state; open a bar for that state's ranked market.

Named-group submitted charges
$15.0M
Named-group allowed amount
$2.4M
Named-group Medicare payments
$1.8M
Avg charge / svc
$1,268
Avg allowed / svc
$199
Avg payment / svc
$153
Average charge per group
$200 240 groups · avg submitted charge / service $7,619
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 64479 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 ORTHOCAROLINA CHARLOTTE NC PHYSICIAN ASSISTANT 304 296 $338,954 $1,145 19.1% (704) 323-2100
2 SOUTHEAST PAIN AND SPINE CARE SPECIALISTS, LLC NORFOLK VA INTERVENTIONAL PAIN MANAGEMENT 2 244 $966,529 $3,961 35.8% (757) 455-8887
3 ORTHOLONESTAR PLLC DALLAS TX PHYSICIAN ASSISTANT 407 237 $254,718 $1,075 14.8% (214) 220-2468
4 PARS MEDICAL PC BROOKLYN NY PHYSICIAN ASSISTANT 3 224 $233,408 $1,042 24.0% (718) 431-2959
5 MAYFIELD CLINIC INC CINCINNATI OH PHYSICIAN ASSISTANT 77 221 $215,700 $976 16.1% (513) 221-1100
6 KANSAS SPINE AND SPECIALTY HOSPITAL LLC WICHITA KS NURSE PRACTITIONER 8 199 $67,608 $340 62.2% (316) 462-5321
7 NEWTON WELLESLEY INTERVENTIONAL SPINE LLC WELLESLEY MA PHYSICAL MEDICINE AND REHABILITATION 3 192 $334,848 $1,744 33.9% (781) 489-5541
8 LOUISIANA ORTHOPAEDIC SPECIALISTS LLC LAFAYETTE LA PHYSICIAN ASSISTANT 68 190 $193,026 $1,016 12.7% (337) 235-8007
9 OLYMPIA ORTHOPAEDIC ASSOCIATES PLLC OLYMPIA WA PHYSICIAN ASSISTANT 109 169 $145,683 $862 18.4% —
10 PHYSICAL THERAPY SERVICES OF WEST LOUISIANA INC LEESVILLE LA ORTHOPEDIC SURGERY 95 162 $190,306 $1,175 10.9% (337) 238-9931
11 SPECIALTY PHYSICIANS OF BLANCHARD VALLEY LLC FINDLAY OH PHYSICIAN ASSISTANT 118 157 $92,841 $591 11.4% (419) 423-5492
12 THE COLUMBUS ORTHOPAEDIC CLINIC, P.A. COLUMBUS MS NURSE PRACTITIONER 47 153 $229,500 $1,500 26.7% (662) 328-1012
13 TENNESSEE ORTHOPAEDIC ALLIANCE PA NASHVILLE TN PHYSICIAN ASSISTANT 352 141 $88,323 $626 19.2% (615) 329-6600
14 ORTHOPAEDIC SURGICAL ASSOCIATES OF LOWELL, P.C. NORTH CHELMSFORD MA ORTHOPEDIC SURGERY 43 139 $335,580 $2,414 24.5% (978) 454-0706
15 INTERVENTIONAL SPINE PAIN CONSULTANTS PA NEWARK DE INTERVENTIONAL PAIN MANAGEMENT 5 137 $170,291 $1,243 22.8% (302) 478-7001
16 BETHESDA CHEVY CHASE ORTHOPAEDIC ASSOCIATES, LLC BETHESDA VA PHYSICAL THERAPIST IN PRIVATE PRACTICE 135 133 $233,145 $1,753 19.5% (301) 530-1010
17 ORTHOPAEDICS-INDIANAPOLIS, INC INDIANAPOLIS IN ORTHOPEDIC SURGERY 348 131 $159,724 $1,219 15.0% (317) 802-2000
18 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 129 $109,296 $847 8.3% (919) 684-8111
19 REHABILITATION ASSOCIATES OF THE MAIN LINE, P.C. MALVERN PA PHYSICAL MEDICINE AND REHABILITATION 14 128 $147,750 $1,154 10.8% (484) 596-5254
20 FIRST STATE ORTHOPAEDICS PA NEWARK DE PHYSICIAN ASSISTANT 98 127 $85,150 $670 21.1% (302) 731-2888
21 FLORIDA INSTITUTE OF PAIN MEDICINE LLC JACKSONVILLE FL NURSE PRACTITIONER 26 123 $92,507 $752 8.2% (904) 449-7246
22 ALLEGIANT INSTITUTE INC. LAS VEGAS NV ORTHOPEDIC SURGERY 19 118 $381,563 $3,234 7.8% (702) 320-8111
23 WK SPINE AND PAIN SPECIALISTS SHREVEPORT LA PHYSICIAN ASSISTANT 13 113 $70,992 $628 7.6% (318) 212-7960
24 HIGH DESERT SPORTS AND SPINE LLC BEND OR PHYSICIAN ASSISTANT 7 104 $86,856 $835 12.0% (541) 388-2333
25 TALLAHASSEE ORTHOPEDIC CLINIC III PL TALLAHASSEE FL PHYSICIAN ASSISTANT 542 103 $127,980 $1,243 6.8% (850) 877-8174
26 JOSEPH P. STAPLETON, MD PC HAPPY VALLEY OR NURSE PRACTITIONER 4 101 $60,600 $600 11.6% (503) 775-6500
27 PORTERCARE ADVENTIST HEALTH SYSTEM DENVER CO PHYSICIAN ASSISTANT 748 100 $58,452 $585 9.4% (303) 778-5797
28 INTERVENTIONAL PAIN MANAGEMENT FLORISSANT MO NURSE PRACTITIONER 4 97 $97,000 $1,000 16.9% (314) 830-2600
29 DESERT ORTHOPAEDIC CENTER LTD LAS VEGAS NV PHYSICIAN ASSISTANT 102 96 $332,669 $3,465 6.4% (702) 731-1616
30 TIDEWATER ANESTHESIA ASSOCIATES, PA EASTON MD ANESTHESIOLOGY 34 96 $67,200 $700 5.7% (410) 822-5559
31 INDIANA SPINE GROUP, PC CARMEL IN ORTHOPEDIC SURGERY 49 90 $220,728 $2,453 10.3% (317) 228-7000
32 DESERT ORTHOPEDIC CENTER A MEDICAL GROUP INC RANCHO MIRAGE CA PHYSICIAN ASSISTANT 50 90 $46,921 $521 2.2% (760) 340-3911
33 SAINT FRANCIS MEDICAL CENTER CAPE GIRARDEAU MO NURSE PRACTITIONER 435 89 $82,500 $927 15.5% (573) 331-3000
34 LONE STAR PAIN INSTITUTE WEATHERFORD TX PHYSICIAN ASSISTANT 4 89 $116,100 $1,304 5.6% —
35 ORTHOPEDIC SPECIALISTS OF NORTH AMERICA PLLC SCOTTSDALE AZ ORTHOPEDIC SURGERY 308 86 $84,352 $981 16.8% (602) 385-2115
36 SPORTSMED ORTHOPAEDIC SPECIALISTS HUNTSVILLE AL PHYSICIAN ASSISTANT 86 84 $57,000 $679 11.2% —
37 CHRISTIANA SPINE CENTER PA NEWARK DE PHYSICAL MEDICINE AND REHABILITATION 13 82 $103,200 $1,259 13.6% (302) 602-7000
38 BEACON ORTHOPAEDICS AND SPORTS MEDICINE LTD CINCINNATI OH PHYSICIAN ASSISTANT 468 82 $72,358 $882 6.0% (513) 354-3700
39 JOHNS HOPKINS UNIVERSITY BALTIMORE MD NURSE PRACTITIONER 2900 80 $30,209 $378 4.7% (410) 502-4340
40 HOLY CROSS HOSPITAL INC FT LAUDERDALE FL PHYSICIAN ASSISTANT 303 80 $55,353 $692 5.3% (954) 772-2136
41 UNIVERSITY PHYSICIANS INCORPORATED AURORA CO PHYSICIAN ASSISTANT 3122 76 $108,652 $1,430 7.1% (720) 777-1234
42 PROLIANCE SURGEONS INC P S ISSAQUAH WA PHYSICIAN ASSISTANT 395 75 $67,451 $899 8.2% (425) 313-5422
43 TEXAS HEALTH CARE PLLC FORT WORTH TX NURSE PRACTITIONER 364 75 $56,700 $756 4.7% (817) 920-0484
44 ORTHOALASKA LLC ANCHORAGE AK PHYSICIAN ASSISTANT 159 71 $145,413 $2,048 100.0% —
45 ORTHOARKANSAS PA LITTLE ROCK AR PHYSICAL THERAPIST IN PRIVATE PRACTICE 145 71 $62,700 $883 18.1% (501) 500-3500
46 AIKEN NEUROSCIENCES AND PAIN MANAGEMENT LLC AIKEN SC ANESTHESIOLOGY 2 71 $86,483 $1,218 29.1% (803) 642-6500
47 ARLINGTON NEUROSURGEONS, PLLC PLANO TX PHYSICIAN ASSISTANT 46 69 $35,735 $518 4.3% (972) 596-6800
48 PAIN MANAGEMENT ASSOCIATES, LLC GREENBELT MD CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 4 69 $276,781 $4,011 4.1% (301) 220-2333
49 CENTRAL OREGON SPINE AND SPORTS LLC BEND OR PHYSICIAN ASSISTANT 3 68 $61,451 $904 7.8% (541) 323-6280
50 GOLDEN STATE ORTHOPEDICS AND SPINE WALNUT CREEK CA ORTHOPEDIC SURGERY 190 67 $30,442 $454 1.6% (925) 939-8585
51 ENLOE MEDICAL CENTER CHICO CA DIAGNOSTIC RADIOLOGY 362 66 $23,068 $350 1.6% (530) 332-4470
52 DANIEL L BURKHEAD MD LTD LAS VEGAS NV PHYSICIAN ASSISTANT 7 64 $108,234 $1,691 4.2% (702) 316-2281
53 PHYSICAL MEDICINE ASSOCIATES LTD ALEXANDRIA VA NURSE PRACTITIONER 75 63 $87,550 $1,390 9.2% (703) 971-4604
54 UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC MADISON WI PHYSICIAN ASSISTANT 2523 62 $169,000 $2,726 20.5% (608) 287-2050
55 CUMBERLAND COUNTY HOSPITAL SYSTEM INC FAYETTEVILLE NC INTERNAL MEDICINE 614 59 $36,968 $627 3.8% (910) 615-8000
56 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 58 $52,152 $899 1.4% (310) 423-0674
57 EMERGEORTHO PA DURHAM NC PHYSICIAN ASSISTANT 725 58 $61,390 $1,058 3.7% (919) 544-7270
58 SUMMIT ORTHOPEDICS, LTD SAINT PAUL MN PHYSICIAN ASSISTANT 271 57 $57,540 $1,009 13.2% (651) 968-5201
59 DR GALAN MD NEUROLOGY AND PAIN MANAGEMENT PC SANTA MARIA CA PHYSICIAN ASSISTANT 4 56 $34,104 $609 1.4% (805) 270-0910
60 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 56 $116,725 $2,084 13.0% (507) 284-2511
61 CHRONIC PAIN RELIEF PA DALLAS TX ANESTHESIOLOGY 2 55 $82,500 $1,500 3.4% (214) 983-1789
62 PROMEDICA CENTRAL PHYSICIANS TOLEDO OH PHYSICIAN ASSISTANT 794 55 $32,160 $585 4.0% (419) 291-2003
63 LAS VEGAS PAIN INSTITUTE AND MEDICAL CENTER, LLC LAS VEGAS NV NURSE PRACTITIONER 8 55 $110,316 $2,006 3.6% (702) 880-4193
64 REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA ORTHOPEDIC SURGERY 136 55 $92,020 $1,673 1.3% (310) 443-8999
65 CAMPBELL CLINIC, PC GERMANTOWN TN ORTHOPEDIC SURGERY 225 53 $54,340 $1,025 7.2% (901) 759-3100
66 PAIN AND AGING MANAGEMENT LLC COLUMBUS IN NURSE PRACTITIONER 6 53 $89,533 $1,689 6.1% (812) 376-0700
67 PHELPS COUNTY REGIONAL MEDICAL CENTER ROLLA MO CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 109 52 $117,610 $2,262 9.1% (573) 458-8899
68 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY KS NURSE PRACTITIONER 1815 51 $44,323 $869 15.9% (913) 588-1227
69 STEADMAN CLINIC PROFESSIONAL LLC VAIL CO PHYSICIAN ASSISTANT 77 51 $116,256 $2,280 4.8% (970) 476-1100
70 VIRGINIA I-SPINE PHYSICIANS PC RICHMOND VA PHYSICAL MEDICINE AND REHABILITATION 3 50 $63,750 $1,275 7.3% (804) 330-0303
71 MEDICAL SCANNING CONSULTANTS PA ST LOUIS PARK MN DIAGNOSTIC RADIOLOGY 81 50 $68,075 $1,361 11.6% (952) 541-1840
72 MUSCULOSKELETAL INSTITUTE OF LOUISIANA LLC SHREVEPORT LA PHYSICIAN ASSISTANT 28 50 $79,730 $1,595 3.3% (318) 635-3052
73 LUMINIS HEALTH MEDICAL GROUP, LLC ANNAPOLIS MD PHYSICIAN ASSISTANT 544 49 $23,358 $477 2.9% (443) 481-1000
74 PHYSICAL MEDICINE CONSULTANTS LLC FORT WAYNE IN NURSE PRACTITIONER 2 49 $36,175 $738 5.6% (260) 432-1800
75 UNIVERSITY ORTHOPEDICS INC PROVIDENCE RI ORTHOPEDIC SURGERY 180 48 $72,341 $1,507 64.0% (401) 457-1500
76 IHC HEALTH SERVICES INC MURRAY UT PHYSICIAN ASSISTANT 3944 48 $35,685 $743 28.4% (801) 261-8346
77 METRO DENVER PAIN MANAGEMENT PLLC ENGLEWOOD CO NURSE PRACTITIONER 18 47 $91,546 $1,948 4.4% (303) 750-8100
78 CATHOLIC HEALTH INITIATIVES COLORADO WOODLAND PARK CO PHYSICIAN ASSISTANT 1266 47 $37,995 $808 4.4% (719) 776-4780
79 SPINAL DIAGNOSTICS PC TUALATIN OR INTERVENTIONAL PAIN MANAGEMENT 4 47 $31,800 $677 5.4% (503) 885-1515
80 ADVANCED PAIN CLINIC PA KISSIMMEE FL INTERVENTIONAL PAIN MANAGEMENT 2 46 $32,406 $704 3.0% (407) 935-9404
81 ISP HEALTH PLLC DALLAS TX CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 4 46 $31,120 $677 2.9% (214) 888-3883
82 MURAD ARIF MD INC MURRIETA CA ANESTHESIOLOGY 2 46 $41,904 $911 1.1% (317) 332-8152
83 REGENTS UNIV OF CALIFORNIA UCSF SAN FRANCISCO CA PHYSICIAN ASSISTANT 277 45 $31,668 $704 1.1% (415) 476-1000
84 PIONEER SPINE AND SPORTS PHYSICIANS PC WEST SPRINGFIELD MA PHYSICAL THERAPIST IN PRIVATE PRACTICE 29 45 $71,188 $1,582 7.9% (413) 785-1153
85 BRIDGER ORTHOPEDICS AND SPORTS MEDICINE PC BOZEMAN MT PHYSICIAN ASSISTANT 66 45 $32,435 $721 27.1% (406) 587-0122
86 BRYN MAWR MEDICAL SPECIALISTS ASSOCIATION BRYN MAWR PA NURSE PRACTITIONER 134 45 $15,750 $350 3.8% (610) 527-3800
87 CORA HEALTH SERVICES INC THE VILLAGES FL ORTHOPEDIC SURGERY 1187 45 $33,750 $750 3.0% (352) 693-3378
88 STEPHEN A GEPHARDT MD LTD LAS VEGAS NV PHYSICIAN ASSISTANT 7 44 $85,600 $1,945 2.9% (702) 912-4100
89 WHITE PLAINS PHYSICIAN SERVICES PC WHITE PLAINS NY PHYSICIAN ASSISTANT 383 44 $28,012 $637 4.7% (914) 681-0600
90 SWEDISH HEALTH SERVICES SEATTLE WA PHYSICIAN ASSISTANT 1033 44 $29,260 $665 4.8% —
91 NORTHSHORE INTERVENTIONAL PAIN MANAGEMENT, APMC COVINGTON LA CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 3 43 $57,756 $1,343 2.9% (985) 809-1997
92 KONEN AND ASSOCIATES, P.A. DALLAS TX CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 16 42 $161,228 $3,839 2.6% (972) 765-1938
93 PAIN CONTROL OF TEXAS PLLC AUSTIN TX PAIN MANAGEMENT 9 42 $320,000 $7,619 2.6% (512) 371-6398
94 ROY D NINI MD INC LOS ANGELES CA PHYSICAL MEDICINE AND REHABILITATION 3 41 $90,200 $2,200 1.0% (310) 423-9900
95 VALOR INTERVENTIONAL PAIN LLC GRANBURY TX ANESTHESIOLOGY 2 40 $97,362 $2,434 2.5% —
96 NORTHWEST SURGICAL SPECIALISTS PC VANCOUVER WA PHYSICIAN ASSISTANT 114 40 $15,003 $375 4.3% (360) 487-1000
97 PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOC OF SOUTHERN NJ LLC VINELAND NJ ORTHOPEDIC SURGERY 38 40 $98,245 $2,456 6.5% (856) 690-1616
98 SPRINGFIELD NEUROLOGICAL AND SPINE INSTITUTE SPRINGFIELD MO NEUROSURGERY 15 39 $25,498 $654 6.8% (417) 885-3888
99 WELLSPAN MEDICAL GROUP YORK MD PHYSICIAN ASSISTANT 2312 39 $34,404 $882 2.3% —
100 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 38 $48,398 $1,274 0.9% (858) 455-9100

Showing the top 100 of 240 groups — the full ranking is part of the market analytics platform — built, not launched yet. Notify me at launch →

*Share of the state's disclosed Medicare-FFS services for the primary code, counted once per clinician. "St" is the state the volume was billed from: a group appears in each state where its clinicians bill Medicare, with that state's volume and share ("City" is the group's registered location). Group figures sum clinicians affiliated with exactly one group; clinicians in several groups are listed in each group's drill-down but not volume-attributed to any single group, so shares reflect attributable volume. See Methods.

Comparing against an all-payer estimate?

These are exact counts from Medicare fee-for-service claims — roughly a third to half of most procedure markets, depending on payer mix. Modeled all-payer databases project the remainder statistically; we publish the audited floor and label it as such. Same market, different denominator. How the numbers reconcile →